Insurance Journal

AUGUST 4, 2024

A Connecticut clinical social worker believes her homeowners insurer should defend and indemnify her against claims she violated patients’ privacy by accessing and sharing their private medical information. She says the lawsuit against her triggers her homeowners coverage because the …

Claim 278

Claim Home Insurance Insured Insurer 278

Insurance Journal

SEPTEMBER 5, 2024

award to former Philadelphia Eagles’ special teams player and captain Chris Maragos in his medical malpractice claim alleging that failed treatment of a knee injury ended his National Football League (NFL) career … A Philadelphia appeals court has upheld the $43.5

Injury 264

Injury Claim 264

Insurance Journal

DECEMBER 19, 2024

facilities to settle a federal agency’s claims that it failed to prevent workers from developing back problems and other ergonomic injuries, the agency said on Thursday. Amazon.com will implement safety measures at all of its U.S. Amazon settled a series …

Injury 246

Injury Claim 246

Insurance Journal

OCTOBER 29, 2024

Scheduled airline ground crews, including baggage handlers and maintenance workers, file injury claims for work-related musculoskeletal disorders at more than 10 times the statewide average, according to the Washington State Department of Labor & Industries. WMSDs, which include strains, sprains …

Injury 263

Injury Claim Workers Compensation Compensation 263

Insurance Journal

DECEMBER 17, 2024

It’s a question that has cropped up in state courts only on rare occasions: If the owner or officer of a subcontractor firm opts out of workers’ compensation coverage for himself, can he then sue the general contractor for negligence …

Injury 246

Injury Compensation Workers Compensation Claim 246

AMAXX

SEPTEMBER 16, 2024

Work-related injuries can occur in any industry, and when they do, the aftermath can be chaotic and stressful for all parties involved. To mitigate confusion, it’s essential for companies to have a clear and consistent post-injury response procedure. One of the most critical aspects of these procedures is consistency.

Injury 83

Injury Workers Compensation Compensation Workers Comp 83

AMAXX

AUGUST 27, 2024

Supervisors play a critical role in the management of workplace injuries. They are often the first to respond when an employee is hurt and are responsible for guiding both the injured employee and the organization through the post-injury process. First Responder Role: When an injury occurs, the supervisor is often the first to know.

Injury 85

Injury Workers Comp Workers Compensation Compensation 85

AMAXX

AUGUST 26, 2024

To better grasp this, let’s walk through a hypothetical scenario that illustrates two different supervisor responses to an employee’s injury and explore the potential consequences of each approach. Oh, by the way, if you file that claim, you know that promotion you were thinking about? Quiz: How Would You Respond?

Injury 89

Injury Workers Comp Workers Compensation Compensation 89

Insurance Journal

AUGUST 4, 2024

Just as another potential hurricane bears down on Florida, the child of a central Florida woman is litigating a claim from a previous storm – Hurricane Ian in 2022. This time, though, the plaintiff claims not only breach of contract …

Claim 279

Claim Insurance Policy Policy Injury 279

AMAXX

NOVEMBER 5, 2024

Successfully settling workers’ compensation (WC) claims can significantly reduce costs and streamline processes for employers and insurers. By adhering to a proven four-step process, organizations can consistently achieve better claim outcomes. One key trigger is the injured worker reaching medical stability.

Workers Compensation 94

Workers Compensation Compensation Claim Workers Comp 94

Insurance Journal

OCTOBER 15, 2024

in the year ending March 31, resulting in an increase in California workers’ compensation temporary total disability and permanent total disability rates for 2025 work injury claims and other workers’ comp benefits … California’s State Average Weekly Wage rose nearly 3.8%

Workers Comp 147

Workers Comp Injury Compensation Claim 147

LexisNexis

SEPTEMBER 17, 2024

A new study conducted by the Workers’ Compensation Research Institute (WCRI) is among a small number of studies to examine the characteristics associated with high-cost claims in workers’ compensation. Factors Associated With High Cost- Claims , Wang, D., Mueller, K.L, D, WCRI, WC-24-23, 8/2024, [link] ).

Workers Compensation 74

Workers Compensation Claim Compensation Injury 74

AMAXX

OCTOBER 7, 2024

Claims audits and reviews are one of the most commonly used tactics by companies to control workers’ compensation costs. In fact, according to the RIMS 2009 Annual Benchmark Survey, 90% of companies had conducted a claim audit or review of at least some of their claims within the previous six months.

Workers Comp 84

Workers Comp Claim Workers Compensation Compensation 84

Triple-I: Homeowners Insurance

APRIL 8, 2024

billion in dog-related injury claims in 2023, according to research by Triple-I and State Farm. The total number of dog-bite and related claims was 19,062 in 2023 – an increase of more than 8 percent from 2022 and a rise of 110 percent over the past 10 years. California, Florida, and Texas had the most claims.

Injury 52

Injury Claim Liability Property Insurance 52

Risk Management Monitor

SEPTEMBER 21, 2021

With the cost of insurance for businesses rising across many types of coverage, staying on top of trends in the claims portfolio is more important than ever. For this reason, many insurers and TPAs promise to conduct claims reviews with their business customers on a regular basis, but the rigor can vary greatly.

Claim 75

Claim Injury Workers Compensation Risk 75

New Jersey Workers' Comp

JULY 19, 2024

One part is the elective provisions that apply to all claim petitions filed in the Division of Workers’ Compensation. The other part is referred to as the Employer’s Liability section of the policy and pertains to civil lawsuits arising from work injuries filed by employees against their employers. In the civil lawsuit, Ms.

Injury 52

Injury Claim Compensation Liability 52

AMAXX

OCTOBER 1, 2024

When managing workers’ compensation, a claim audit or review is a crucial opportunity for employers, carriers, TPAs (Third-Party Administrators), and brokers to come together and optimize claim-handling practices. Here’s how to effectively plan and prepare for a successful claim audit or review.

Workers Comp 73

Workers Comp Claim Workers Compensation Compensation 73

AMAXX

JULY 29, 2024

In the realm of workers’ compensation, the role of an injury coordinator is pivotal. This position is crucial for managing the complex processes associated with workplace injuries, ensuring both compliance with regulations and the well-being of employees.

Workers Compensation 52

Workers Compensation Injury Compensation Workers Comp 52

AMAXX

JULY 15, 2024

One of the most critical aspects of managing workers’ compensation claims is ensuring that injured employees receive prompt medical treatment. Understanding the importance of quickly reporting claims and reducing lag time is key to preventing such scenarios. Initially, this policy faced controversy and skepticism.

Workers Compensation 52

Workers Compensation Compensation Claim Workers Comp 52

AMAXX

JANUARY 13, 2025

Navigating workers’ compensation can be complex, with various parties working together to ensure effective claims management and cost containment. They are a vital entity, as they not only handle premium collections but also pay out claims to cover medical expenses and wage replacement for injured employees.

Workers Compensation 80

Workers Compensation Compensation Workers Comp Broker-Agent 80

New Jersey Workers' Comp

JANUARY 13, 2025

An employee cannot bring a civil suit against an employer or a co-employee alleging bodily injury. A very recent Supreme Court decision squarely addressed the question whether an insurer is required to defend an employer against intentional harm claims. However, an exception arises in cases of intentional harm. In Laidlow v.

Workers Compensation 52

Workers Compensation Claim Injury Compensation 52

LexisNexis

OCTOBER 15, 2024

percent in the year ending March 31, 2024, which will result in an increase in California workers’ compensation temporary total disability (TTD) and permanent total disability (PTD) rates for 2025 work injury claims and other workers’ compensation benefits that are tied to SAWW increases. per week for claims with 2025 injury dates.

Workers Comp 75

Workers Comp Workers Compensation Injury Compensation 75

AMAXX

AUGUST 21, 2024

Reserves are the funds set aside by an insurer to cover the future costs of a claim, including medical expenses, lost wages, and other associated costs. However, even the most experienced adjuster can sometimes under-reserve a claim, leading to financial surprises later on. Is the Cost for the Claim for Life?

Workers Compensation 90

Workers Compensation Compensation Workers Comp Injury 90

AMAXX

JANUARY 14, 2025

While their primary purpose is to ensure employees receive medical and wage replacement benefits for work-related injuries, they also offer critical advantages to employers. Under this system, employees who accept workers compensation benefits for a work-related injury or illness forfeit the right to sue their employer for negligence.

Workers Compensation 67

Workers Compensation Compensation Workers Comp Injury 67

R&R Insurance

FEBRUARY 16, 2024

As the cold weather sets in, it's crucial to be aware of the dangers that come with it, especially the risk of slip and fall injuries. The Cost of Complacency In 2021, the average claim for slip and fall injuries was nearly $50,000.

Injury 52

Injury Risk Claim Insurer 52

AMAXX

OCTOBER 24, 2024

Workplace injuries can have significant financial and operational impacts on businesses, but the cost to the employee is often much greater. From physical pain to financial insecurity, an injury can be life-altering. Despite this, many employers overlook one of the most critical aspects of workplace injury management: rehabilitation.

Workers Compensation 87

Workers Compensation Compensation Injury Workers Comp 87

AMAXX

OCTOBER 15, 2024

One of the most significant challenges for employers today is managing the rising costs of workers’ compensation claims. The price tag associated with these claims can severely impact a company’s bottom line if not controlled effectively.

Workers Compensation 84

Workers Compensation Compensation Workers Comp Injury 84

AMAXX

SEPTEMBER 9, 2024

Medical cost containment is an essential aspect of managing workers’ compensation claims effectively. Various medical cost containment strategies play a pivotal role in managing these claims efficiently. Diagnosis and prognosis remain unclear, or the disability period is disproportionate to the injury.

Workers Comp 73

Workers Comp Injury Compensation Claim 73

Hunton Andrews Kurth

FEBRUARY 21, 2024

In recent years, consumers filed a spate of class actions claiming that retailers misrepresented the retail price on discounted goods to mislead consumers into thinking they were obtaining a bargain. The panel split 2-1, however, regarding the plaintiff’s claims for forward-looking injunctive relief. Eddie Bauer LLC , No.

Injury 100

Injury Claim Damage Protection 100

AMAXX

DECEMBER 19, 2024

In the context of workers compensation, fostering a similar collaborative environment can lead to earlier injury reporting, effective hazard identification, and creative solutions for return-to-work programs, ultimately reducing costs. Early reporting and hazard mitigation are key to preventing costly claims and minimizing downtime.

Workers Comp 74

Workers Comp Workers Compensation Injury Compensation 74

AMAXX

JANUARY 6, 2025

Many employers point fingers at their injury management partners, assuming they are the primary issue. ” “I asked for surveillance on that claim, and they refused.” Injury management partners can only be as effective as the employers level of engagement and activity in the program. The solution?

Workers Comp 80

Workers Comp Building Workers Compensation Compensation 80

AMAXX

AUGUST 12, 2024

In workers’ compensation, communication with injured workers is a critical aspect that can significantly influence the outcome of a claim. It helps to build trust between the worker, the employer, and the claims management team. It’s essential to communicate the process clearly and straightforwardly.

Workers Compensation 86

Workers Compensation Workers Comp Injury Compensation 86

Hunton Andrews Kurth

APRIL 3, 2023

1017 (2021), holding that Ford could be subject to personal jurisdiction in Minnesota and Montana because the suit “related to” the company’s contacts with the states, even though there was not a causal relationship between Ford’s contacts with the forum and plaintiffs’ claims. Superior Ct. of California, San Francisco Cnty. , Yamashita v.

Injury 98

Injury Claim Protection 98

AMAXX

OCTOBER 8, 2024

Transitional duty allows employees to return to the workplace in a modified capacity while they continue to recover from their injuries. These programs offer significant benefits, not only by speeding up recovery but also by minimizing the financial impact of workers’ compensation claims on employers.

Workers Compensation 76

Workers Compensation Compensation Workers Comp Injury 76

AMAXX

AUGUST 13, 2024

by Andrea Mills, Chief Client Officer, Ametros Settling a workers’ compensation or liability claim can and should be a win-win for the injured individual and the payer. Fortunately, some experts devote their careers to understanding and alleviating the concerns of injured individuals and helping move claims to settlement.

Workers Compensation 78

Workers Compensation Injury Compensation Claim 78

Wren Insurance Agency

OCTOBER 17, 2024

At this time of year, typically due to Florida storms causing damage to our homes, there are a larger number of insurance claims than normal. Many adjusters investigate your claim by visiting your property; in person, viewing and documenting losses and damages personally. Read the full article at www.wreninsuranceagency.com

Damage 81

Damage License Insured Insurer 81

AMAXX

OCTOBER 28, 2024

Every session seemed to touch on AI in some form, particularly in how it’s being used in workers’ comp and claims analysis. These are the foundational elements: empathy, communication, medical support, managing claims, and getting people back to work. They will evolve as technology advances.

Workers Comp 85

Workers Comp Workers Compensation Compensation Injury 85